Jesalyn Autumn Tate, MD - Medicare Dermatology in Kansas City, KS

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Jesalyn Autumn Tate, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Kansas City, Kansas. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Kansas University Physicians Inc and her current practice location is 2000 Olathe Fl 4c, Kansas City, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 588-1227.

Jesalyn Autumn Tate is licensed to practice in Kansas (license number 04-45028) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629427497.

Contact Information

Jesalyn Autumn Tate, MD
2000 Olathe Fl 4c,
Kansas City, KS 66160-3438
(913) 588-1227
Not Available

Map and Direction




Physician's Profile

Full NameJesalyn Autumn Tate
GenderFemale
SpecialityDermatology
Experience8 Years
Location2000 Olathe Fl 4c, Kansas City, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jesalyn Autumn Tate attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1629427497
  • Provider Enumeration Date: 06/12/2016
  • Last Update Date: 08/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810260262
  • Enrollment ID: I20210915001580

Medical Identifiers

Medical identifiers for Jesalyn Autumn Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629427497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 04-45028 (Kansas)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 04-45028 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Kansas HospitalKansas city, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kansas University Physicians Inc89219115871456

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesalyn Autumn Tate allows following entities to bill medicare on her behalf.
Entity NameKansas University Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesalyn Autumn Tate is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesalyn Autumn Tate, MD
956 Court Ave, Suite H314,
Memphis, TN 38103-2814

Ph: (901) 448-5814		Jesalyn Autumn Tate, MD
2000 Olathe Fl 4c,
Kansas City, KS 66160-3438

Ph: (913) 588-1227

Reviews and Comments


Dermatology Doctors in Kansas City, KS

Dr. Johanna Suzanne Peterson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division Of General And Geriatric Medicine, University, Kansas City, KS 66160
Phone: 913-588-6005    Fax: 913-588-3877
Thelda M Kestenbaum, M.D.
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Practice Location: 3901 Rainbow Blvd, Dept Of Internal Medicine, Kansas City, KS 66160
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Urmi Khanna,
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Practice Location: 2000 Olathe, Kansas City, KS 66160
Phone: 913-588-3840    
Trenton Thomas Greif, MD
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Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160
Phone: 913-588-3840    
Kevin Varghese,
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Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd # Ms 2050, Kansas City, KS 66160
Phone: 913-588-6028    
Dr. Sarah Pourakbar, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160
Phone: 913-588-1227    
William George Liakos Iii, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160
Phone: 913-588-1227    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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